Active NPI
Michelle J Lowry, M.S., CCC-SLP
- Speech-Language Pathologist
- Boise, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP 1637
- Practice address
- 3152 S Bown Way
Boise, ID 83706-5400 - Phone
- (208) 861-1785
- Fax
- (208) 453-1214
- NPI assigned
- Mar 22, 2011
- Last updated
- Mar 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP 1637 | ID | Primary |
Addresses
Primary practice location
3152 S Bown Way
Boise, ID 83706-5400
Mailing address
17626 Deer Flat Rd
Caldwell, ID 83607-9779
Phone (208) 861-1785
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
425 2ND St
Suite 405
San Francisco, CA 94107-1420
489 Sanchez St
San Francisco, CA 94114-2056
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP 1637 | ID | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hona Medical Group PA | Speech-Language Pathologist | Current | Accepting new patients |
Locations
6303 Waterford District Dr
Ste 400
Miami, FL 33126
Phone (786) 801-1571
701 NE 136th Ave
Ste 200
Vancouver, WA 98684
Phone (253) 400-8338
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300752000000",
"number": "1912206582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17626 DEER FLAT RD",
"city": "CALDWELL",
"state": "ID",
"postal_code": "836079779",
"telephone_number": "208-861-1785",
"fax_number": "208-453-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3152 S BOWN WAY",
"city": "BOISE",
"state": "ID",
"postal_code": "837065400",
"telephone_number": "208-861-1785",
"fax_number": "208-453-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOWRY",
"first_name": "MICHELLE",
"middle_name": "J",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-22",
"last_updated": "2011-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP 1637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.